The Price of Medicare Procedures in Texas



This table shows the 100 most frequently charged procedures/diagnosis in Texas to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Texas 1066 $30388 $5540 $24848
Acute Myocardial Infarction Discharged Alive With Complications
 Texas 2397 $37029 $7756 $29273
Acute Myocardial Infarction Discharged Alive With Major Complications
 Texas 4059 $56705 $12129 $44576
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Texas 397 $20566 $4804 $15762
Atherosclerosis No Major Complications
 Texas 1554 $21485 $3893 $17592
Back And Neck Proc Exc Spinal Fusion No Complications
 Texas 2235 $31687 $6679 $25008
Bronchitis And Asthma No Complications
 Texas 1088 $20558 $4153 $16405
Bronchitis And Asthma With Complications
 Texas 2474 $28949 $5703 $23246
Cardiac Arrhythmia And Conduction Disorders No Complications
 Texas 7086 $17909 $3737 $14172
Cardiac Arrhythmia And Conduction Disorders With Complications
 Texas 6467 $25580 $5548 $20032
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Texas 4015 $39117 $8276 $30841
Cellulitis No Major Complications
 Texas 10229 $22200 $5508 $16692
Cellulitis With Major Complications
 Texas 1508 $40242 $9735 $30507
Cervical Spinal Fusion No Complications
 Texas 2167 $57689 $13787 $43902
Chest Pain
 Texas 7850 $21186 $3679 $17507
Chronic Obstructive Pulmonary Disease No Complications
 Texas 7600 $22480 $4743 $17737
Chronic Obstructive Pulmonary Disease With Complications
 Texas 9812 $29951 $6392 $23559
Chronic Obstructive Pulmonary Disease With Major Complications
 Texas 10888 $35718 $7640 $28078
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Texas 7415 $41312 $7361 $33951
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Texas 1536 $71511 $14371 $57140
Cranial And Peripheral Nerve Disorders No Major Complications
 Texas 1396 $29822 $6498 $23324
Degenerative Nervous System Disorders No Major Complications
 Texas 1423 $29257 $6351 $22906
Diabetes With Complications
 Texas 3421 $25461 $5703 $19758
Disorders Of Pancreas Except Malignancy With Complications
 Texas 1209 $32768 $7170 $25598
Dysequilibrium
 Texas 889 $25635 $4374 $21261
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Texas 14725 $24353 $4827 $19526
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Texas 3234 $38931 $8131 $30800
Extracranial Procedures No Complications
 Texas 2871 $29042 $6490 $22552
Fractures Of Hip And Pelvis No Major Complications
 Texas 1283 $19689 $4633 $15056
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Texas 932 $22552 $4696 $17856
Gi Hemorrhage No Complications
 Texas 2065 $21763 $4668 $17095
Gi Hemorrhage With Complications
 Texas 8779 $30527 $6739 $23788
Gi Hemorrhage With Major Complications
 Texas 3521 $52594 $11790 $40804
Gi Obstruction No Complications
 Texas 1756 $19820 $4189 $15631
Gi Obstruction With Complications
 Texas 3097 $28958 $6052 $22906
Heart Failure And Shock No Complications
 Texas 5685 $20982 $4507 $16475
Heart Failure And Shock With Complications
 Texas 14835 $29856 $6716 $23140
Heart Failure And Shock With Major Complications
 Texas 12992 $46305 $9838 $36467
Hip And Femur Procedures Except Major Joint No Complications
 Texas 1691 $44529 $9899 $34630
Hip And Femur Procedures Except Major Joint With Complications
 Texas 5996 $55186 $11865 $43321
Hip And Femur Procedures Except Major Joint With Major Complications
 Texas 1418 $84559 $19805 $64754
Hypertension No Major Complications
 Texas 2301 $21529 $4067 $17462
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Texas 3059 $151066 $37618 $113448
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Texas 3895 $28468 $5476 $22992
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Texas 7675 $36171 $7674 $28497
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Texas 4547 $58647 $12879 $45768
Kidney And Urinary Tract Infections No Major Complications
 Texas 17384 $22538 $5084 $17454
Kidney And Urinary Tract Infections With Major Complications
 Texas 5517 $34831 $7778 $27053
Laparoscopic Cholecystectomy No Cde No Complications
 Texas 1287 $40354 $7743 $32611
Laparoscopic Cholecystectomy No Cde With Complications
 Texas 1759 $54550 $11127 $43423
Major Cardiovasc Procedures No Major Complications
 Texas 2458 $91890 $20962 $70928
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Texas 1448 $34403 $8357 $26046
Major Joint Replacement Of Lower Extremity No Major Complications
 Texas 30095 $60653 $13908 $46745
Major Joint Replacement Of Lower Extremity With Major Complications
 Texas 1440 $89048 $21542 $67506
Major Small And Large Bowel Procedures With Complications
 Texas 3392 $68143 $16870 $51273
Major Small And Large Bowel Procedures With Major Complications
 Texas 2661 $150283 $36010 $114273
Medical Back Problems No Major Complications
 Texas 3066 $27706 $5557 $22149
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Texas 11456 $20262 $4588 $15674
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Texas 5544 $32026 $7792 $24234
Other Circulatory System Diagnoses With Complications
 Texas 968 $30977 $6795 $24182
Other Circulatory System Diagnoses With Major Complications
 Texas 4107 $54093 $12909 $41184
Other Digestive System Diagnoses With Complications
 Texas 2643 $31108 $6860 $24248
Other Kidney And Urinary Tract Diagnoses With Complications
 Texas 1698 $34652 $8474 $26178
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Texas 1258 $51571 $12137 $39434
Other Vascular Procedures No Complications
 Texas 1999 $55182 $10883 $44299
Other Vascular Procedures With Complications
 Texas 2891 $76478 $16388 $60090
Other Vascular Procedures With Major Complications
 Texas 3319 $86969 $21111 $65858
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Texas 1882 $72880 $12229 $60651
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Texas 5949 $75722 $13471 $62251
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Texas 1999 $107551 $21607 $85944
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Texas 1554 $68556 $11650 $56906
Peripheral Vascular Disorders No Complications
 Texas 1361 $18853 $4333 $14520
Peripheral Vascular Disorders With Complications
 Texas 2661 $26933 $6471 $20462
Permanent Cardiac Pacemaker Implant No Complications
 Texas 1721 $60525 $13164 $47361
Permanent Cardiac Pacemaker Implant With Complications
 Texas 1995 $76114 $17081 $59033
Poisoning And Toxic Effects Of Drugs No Major Complications
 Texas 1484 $20590 $4281 $16309
Poisoning And Toxic Effects Of Drugs With Major Complications
 Texas 1077 $45629 $10467 $35162
Psychoses
 Texas 5177 $22550 $6012 $16538
Pulmonary Edema And Respiratory Failure
 Texas 5780 $41085 $8523 $32562
Pulmonary Embolism No Major Complications
 Texas 1734 $32292 $6990 $25302
Red Blood Cell Disorders No Major Complications
 Texas 7319 $22785 $5348 $17437
Red Blood Cell Disorders With Major Complications
 Texas 2027 $37426 $8666 $28760
Renal Failure No Complications
 Texas 1345 $20093 $4344 $15749
Renal Failure With Complications
 Texas 11210 $29456 $6717 $22739
Renal Failure With Major Complications
 Texas 8059 $44595 $10908 $33687
Respiratory Infections And Inflammations With Complications
 Texas 3831 $42475 $9270 $33205
Respiratory Infections And Inflammations With Major Complications
 Texas 4194 $61030 $13022 $48008
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Texas 1981 $155606 $33988 $121618
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Texas 5278 $70898 $15222 $55676
Seizures No Major Complications
 Texas 3028 $25968 $5330 $20638
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Texas 8046 $31231 $7425 $23806
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Texas 23144 $55266 $12616 $42650
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Texas 1774 $170172 $39538 $130634
Signs And Symptoms No Major Complications
 Texas 2947 $21891 $4614 $17277
Simple Pneumonia And Pleurisy No Complications
 Texas 6406 $21702 $4627 $17075
Simple Pneumonia And Pleurisy With Complications
 Texas 14349 $30588 $6575 $24013
Simple Pneumonia And Pleurisy With Major Complications
 Texas 9563 $46629 $9600 $37029
Spinal Fusion Except Cervical No Major Complications
 Texas 5407 $103546 $25970 $77576
Syncope And Collapse
 Texas 7412 $26216 $4784 $21432
Transient Ischemia
 Texas 5317 $26817 $4792 $22025


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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